General Patho Flashcards
Father of Modern Pathology
Rudolf Virchow
Incomplete development, represented only by a mass of fatty/fibrous tissue
Aplasia
Complete non-appearance/absence of organ
Agenesia
Failure to reach full maturity of organs
Hypoplasia
Failure to form an opening
Atresia
Acquired decrease in size
Atrophy
Naturally occurring atrophy (aging)
Physiologic atrophy
Atrophy in consequence of a disease
Pathologic atrophy
Hypertrophy due to increased workload/endocrine stimulation
True hypertrophy
hypertrophy due to edema fluid & CT proliferation
False hypertrophy
Hypertrophy that involves 1 of the paired organ due to removal/functional insufficiency
Compensatory hypertrophy
Disordered growth; variation in size, shape & orientation
Dysplasia
Reversible but prone to malignant transformation (adaptation to chronic injury)
Metaplasia
Regressive changes towards a more primitive/embryonic cell type
Anaplasia
Pathologic overgrowth of tissue
Neoplasia
5 cardinal signs of inflammation
- Rubor/redness
- Calor/heat
- Tumor/swell
- Dolor/pain
- Functio laesa/loss of fxn
exudate that is watery, low-protein fluid from blood/cells
serous (inflammation)
exudate due to hyper secretion of mucus
catarrhal
cellular attempt to contain an offending agent that is hard to kill
Granuloma formation
Caseating granuloma
TB
non-caseating granuloma
leprosy
gumma
syphilis
rounded or stellate granuloma
cat-scratch disease
A local defect/excavation on the surface of an organ due to sloughing
ulcers
cells are enlarged
PM are disrupted
with adjacent inflammation
Necrosis
shrinkage of cells
fragmentation
PM is intact
Apoptosis
necrosis/apoptosis?
large, acidophilic & with fat droplets
necrosis
necrosis that happens when arterial supply is cut off
hallmark is conversion of normal cells into “tombstones”
coagulative necrosis
necrosis that is rapid total enzymatic dissolution of cells (eg brain)
liquefactive
necrosis involving a peculiar destruction of adipose tissue (eg pancreas)
fat
necrosis that happens when cells are converted into granular, friable mass made up of coagulated protein/fat
caseous
necrosis that combines ischemia & superimposed bacterial contamination
gangrenous
Active elements of the tumor
parenchyma
connective tissue framework w/ lymphatic & vascular channels
stroma
cancer wherein there are more cells than supporting tissue
soft & very malignant
medullary
cancer where there is more connective tissue than cells
stony/hard
scirrhous
Benign epithelial neoplasms producing finger-like/warty projections
papilloma
Benign tumors arising from glands
adrenal
malignant tumors arising from epithelial origin
carcinoma
malignant tumor arising from connective tissues (mesenchymal)
sarcoma
general rule of grading tumors
well-differentiated tumors are less malignant
Grade __
Differentiated cells: 100-75%
Undifferentiated cells: 0-25%
Grade 1
Grade 2
Differentiated cells:
Undifferentiated cells:
75-50%
25-50%
Grade __
Differentiated cells: 50-25%
Undifferentiated cells:
Grade 3
50-75%
Grade __
Differentiated cells: 25-0%
Undifferentiated cells: 75-100%
Grade 4
TNM system of cancer staging:
in situ lesion
T0
TNM system of cancer staging:
increasing size
T1-T4
TNM system of cancer staging:
no nodal involvement
N0
TNM system of cancer staging:
increasing # and range of nodes
N1-N3
TNM system of cancer staging:
no distant metastasis
M0
TNM system of cancer staging:
presence of metastasis
M1
Death or complete cessation of metabolic/functional activities
somatic death
3 primary signs/changes of death
- circulatory failure
- respiratory failure
- nervous failure
flatline EEG
nervous failure
1st demonstrable change observed
cooling of body 7°C/hr
Algor mortis
rigidity/stiffening of muscles
6-12 hrs after death up to 2-3 days
Rigor mortis
purple discoloration
livor mortis
occurs after death
separation of RBCs from fluid phase “chicken fat” appearance
currant jelly shaped vessels “rubbery”
post-mortem clot
occurs before death
friable & precipitation of fibrin
not rubbery in consistency
Ante-mortem clot
drying & wrinkling of the cornea
dessication
production of foul-smelling gases (cadaverine) by saprophytic orgs
putrefaction
self-digestion of cells
autolysis
Certificate of Death (Municipal form no. 103)
modified by __
what are the changes
by WHO
From blue to WHITE paper
Relase 4 copies (registrant, office of civil registrar & attendant at death, filing)
1st manifestation of almost all forms of injury to cell
cloudy swelling
abnormal accumulation of fat
most affected organ:
Fatty degeneration
Liver